Oregon Zero Suicide Implementation Assessment Instrument, v.1.0

This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Community Collaboration Initiative (OCCI) by Portland State University in collaboration with the OHA GLS Youth Suicide Prevention staff. The assessment is based on three Zero Suicide resources available at http://zerosuicide.org/: (1) the Organizational Self‐Study, (2) the Data Elements Worksheet and (3) the Work Plan Template. OHA is using this implementation assessment to track change over time related to suicide prevention efforts among organizations participating in OHA‐sponsored Zero Suicide Academies in Oregon and subsequent Zero Suicide Community of Practice Conference Calls. Funding to develop this instrument was provided by SAMHSA Garret Lee Smith Youth Suicide Prevention Grant (Grant #1U79SM061759‐01) awarded to the Oregon Health Authority

2022 Zero Suicide Implementation in Oregon: Cross‐Site Follow‐up Change Report

This implementation self‐assessment and the accompanying web survey were adapted for the Oregon Health Authority (OHA) by Portland State University in collaboration with the OHA Youth Suicide Prevention staff. The assessment was adapted from three existing Zero Suicide resources available at http://zerosuicide.org/. The Organizational Self‐Study is a questionnaire about the extent to which each component of the Zero Suicide approach is in place at a single organization. Zero Suicide recommends completing this self‐study at the start of an organization’s Zero Suicide initiative, then every 12 months after that as a measure of fidelity to the model. The self‐study questions serve as the basis for this Oregon Zero Suicide Implementation Assessment and have been reformulated as indicators. The response options (or anchors) for each question are included in the grid to define the level of implementation for each indicator. The Data Elements Worksheet contains primary and supplemental measures recommended for behavioral health care organizations to strive for to maintain fidelity to a comprehensive suicide care model. The supplemental measures are clinically significant but may be much harder to measure than the primary measures. Zero Suicide recommends reviewing these data elements every three months in order to determine areas for improvement. Starting with element #3 (Identify) of this implementation assessment, these data points are requested for each relevant indicator as documentation for the rank awarded. OHA is using this implementation assessment to track change over time related to suicide prevention efforts among organizations statewide as part of Cooperative Agreements to Implement Zero Suicide in Health Systems project (2020 – 2025)

FUSE: People with Frequent Utilization of Public Services in Clackamas County, Oregon: Potential Service Enhancements

The goal of this study was to answer five very specific questions about individuals with high service utilization and the systems that serve them. The data for this study comes from administrative system data, informational conversations and meetings with community partners, formal interviews with service providers, and interviews with consumers with frequent service utilization. Limitations: The rates of mental illness, addiction and homelessness are likely to be higher than they appear in this report due to the way these characteristics were gathered or recorded in system databases. Historically marginalized populations are increasingly underrepresented in datasets

Creating an Organizational Self-Assessment Tool to Evaluate Progress toward System Change

Studies have shown that programs with higher fidelity to certain evidence-based practices have better treatment outcomes than programs with lower fidelity. The clinical assessment method outlined in this poster can be adapted to create a tool for measuring how closely an organization is implementing system change and maintaining it over time, while also educating program staff on what optimal implementation looks like

Weku: Trauma-Informed Residential Treatment for Pregnant and Post-Partum Women in Portland, OR

This poster describes a trauma-informed residential treatment program for pregnant and post-partum women in Portland, Oregon and the subsequent reductions in substance use, addiction severity and trauma symptoms at 6-months post-intake

2012 Oregon Crime Victims’ Needs Assessment Final Report

On behalf of the Crime Victims’ Services Division of the Oregon Department of Justice, the Portland State University Regional Research Institute for Human Services conducted an eighteen-month needs assessment of the current state of crime victim services and crime victims’ needs in Oregon. This 2012 study was a ten-year follow-up of the 2002 statewide crime victims’ needs assessment conducted by RRI for CVSD’s predecessor, the DOJ Crime Victims’ Assistance Section. The 2012 statewide needs assessment was conducted from July 2011 through December 2012 with the primary objectives of: (1) Reviewing changes in the field of crime victim services since the 2002 needs assessment, (2) Providing comprehensive information about the current needs of crime victims and the state of the service delivery system, (3) Identifying gaps in available services and barriers to accessing services, particularly among populations considered by CVSD to have specific needs, and (4) Identifying the major issues facing crime victim services today and in the next ten years

Statewide Implementation of High-Fidelity Recovery-Oriented ACT: A Case Study

Background: Assertive Community Treatment (ACT) is a recognized evidence-based practice, but the use of Translation Science to ensure the broad implementation of high quality ACT services has not yet been fully explored. This single intrinsic case study explores how Oregon uses strategies identified through Translation Science to achieve statewide implementation of high-fidelity recovery-oriented ACT. Method: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants. Findings: In 2013, the Oregon Health Authority funded the creation of the Oregon Center of Excellence for Assertive Community Treatment to support the implementation of ACT. It also implemented administrative rules requiring an annual re-certification process with a minimum level of fidelity to the evidence-based model. Other implementation strategies included establishing an ACT Advisory Committee, quarterly reviews of implementation and outcome data, and trainings promoting the role of peer providers and related evidence-based practices. Conclusion: High-fidelity recovery-oriented ACT services in Oregon are maintained through multiple strategies, including codifying the minimum level of ACT implementation into state administrative rule, linking fidelity benchmarks scores to Medicaid reimbursements, and funding ongoing oversight, training and technical assistance through a statewide technical assistance center. Strict adherence to the ACT model has been a key to ensuring a uniform level of high-quality care across Oregon while incorporating additional evidence-based practices without compromising the integrity of the original model

Zero Suicide as a Statewide Initiative: The Oregon Approach

Aims: This session has three primary aims: (1) to inform state public health and behavioral health leaders of the state of Oregon’s plan for supporting local Zero Suicide infrastructure development; (2) to educate state and local leaders about the different approaches local jurisdictions have taken in their ZS efforts; and (3) to introduce leaders and practitioners to an online firearm safety toolkit that incorporates research-based skills for addressing firearm safety in a culturally competent manner with rural suicidal patients. Methods - Content/ Knowledge/ Skills: The session will enhance participants’ knowledge of state and local models for implementing Zero Suicide. Content will include an overview of the State’s vision for Zero Suicide and how Garrett Lee Smith state funds were leveraged to support local efforts. Highlights of each local jurisdictions priorities and approaches will be shared as well successes, barriers to overcome and lessons learned. Additionally, the presentation will introduce the state’s Zero Suicide website, complete with implementation tools created by local Oregon communities to aid their implementation of Zero Suicide and shared in hopes that these tools might be of assistance to others. These practical, user-friendly tools are organized around Getting Started with Zero Suicide, Assessment and Evaluation, Training, Implementation, and Podcasts which feature interviews with local innovators and their approach to distinct aspects of Zero Suicide. The presentation will also share a tool for assessing implementation of Zero Suicide for planning and evaluation purposes. The tool was developed by GLS Youth Suicide Prevention grant evaluators at Portland State University to monitor and provide results-based state-wide and local summative and formative data. The final component of this presentation will be an overview of the firearm safety research conducted by colleagues at Oregon State University – Cascades with rural firearm owners and the application of this research to communication tools and online training for primary care and behavioral health providers. An article based on this research that was published in the Archives of Suicide Research was just awarded by that journal, best article published in 2018. This part of the session will (1) describe the mixed methods approach used to collect data locally and nationally, (2) share results that suggest standard public health messaging about suicide and risk is ineffective for increasing the willingness of rural, suicidal firearm-owning populations to give up access to firearms, (3) share specific research-based communication skills that increase the likelihood of a rural, suicidal firearm owner’s willingness to engage in discourse about limiting access to firearms, and (4) introduce the state’s web-based firearm safety toolkit, which includes communication tools for firearm owners and providers, as well as an online course on how to discuss firearm safety with suicidal patients that can be taken for continuing medical education units

2014 Oregon General Assistance Study

In early 2014, the Oregon legislature and the state Department of Human Services (DHS) commissioned a study to gather input from consumer and non-consumer stakeholders regarding how to most effectively meet the needs of childless adults with disabilities. This study was designed to answer the following questions: (1) What services for childless adults with disabilities exist within Oregon and in other states? (2) What is the need today? and (3) What potential program structures and funding options might address the needs or the target population while also addressing any barriers experienced with the previous program? The following synopsis describes the study findings. This project was completed by the PSU Regional Research Institute for Human Services between June and December of 2014

Tools for Addressing Intimate partner Violence and Suicide Risk: Lessons Learned from OHA’s COVID-19 Emergency response for Suicide Prevention Grant

In August 2020, the Oregon Coalition Against Domestic and Sexual Violence (OCADSV), the Oregon Health Authority (OHA), and Portland State University’s Regional Research Institute for Human Services (PSU RRI) began an 18-month collaboration to strengthen support for domestic violence and mental health agencies during COVID-19. As part of this grant, six domestic violence advocacy organizations around Oregon were able to place co-located advocates with their mental health partner agencies for services and cross-training. The content of this booklet is another product of this collaboration